By Chad M. Miller MD, Michel Torbey MD

"

I commend the editors for his or her cautious standpoint at the present country of neuromonitoring. the person chapters offer first-class overviews of particular neuromonitoring instruments and paradigms

óFrom the Foreword via J. Claude Hemphill III, MD, MAS, FNCS

While harm due to a prime harm to the mind or backbone could be unavoidable, damage from secondary strategies that reason additional deterioration isn't really. This useful, medical source describes the most recent innovations for tracking the mind after acute harm. With a spotlight on individualization of remedy, the ebook examines the position of varied tracking options in proscribing incapacity and potentiating sufferer restoration throughout the acute section of mind damage. foreign specialists in prognosis and therapy of secondary harm clarify intimately the present usage, merits, nuances, and hazards for every commercially on hand tracking equipment in addition to ways very important to the care of mind and backbone injured sufferers. They conceal foundational ideas for neuromonitoring implementation and research, together with right catheter placement, period of tracking, and therapy thresholds that point out the necessity for medical intervention. The publication additionally addresses multimodality tracking and customary programmatic demanding situations, and provides tips on tips to arrange a profitable multimodal tracking protocol within the ICU. additionally integrated is a bankruptcy at the key position of nurses in neuromonitoring and powerful bedside education for troubleshooting and correct execution of remedy protocols. various illustrations supply extra illumination.

Key Features:

offers state of the art neuromonitoring innovations and scientific protocols for review and treatment

Emphasizes functional implementation for profitable sufferer outcomes

Written by way of foreign specialists on the leading edge of neurocritical care monitoring

presents a framework for practitioners who desire to individualize sufferer care with an emphasis upon the wishes of the seriously ailing brain

Discusses the main position of nurses in neuromonitoring and potent bedside education for administration and troubleshooting of devices

"

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Extra resources for Neurocritical Care Monitoring

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1989;17:21–30. Langlois O, Rabehenoina C, Proust F, et al. [diagnosis of vasospasm: Comparison between arteriography and transcranial Doppler. A series of 112 comparative tests]. Neurochirurgie. 1992;38: 138–140. Lennihan L, Petty GW, Fink ME, et al. Transcranial Doppler detection of anterior cerebral artery vasospasm. J Neurol Neurosurg Psychiatry. 1993;56:906–909. , Kassell NF, et al. Sensitivity and specificity of transcranial Doppler ultrasonography in the diagnosis of vasospasm following subarachnoid hemorrhage.

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TCD had a sensitivity of 75% for confirming brain death. Multivariable analysis revealed absence of sympathomimetric drug use and female gender were associated with false negative results. The validity of TCD diagnosed brain death depends on the time lapse between brain death and the performance of TCD (65), as some patients require repeated examinations before TCD criteria are met (66). Acute Ischemic Stroke and Monitoring of Recanalization Ultra-early neuroimaging may provide crucial information for the individual patient by determining the status of arterial occlusion and collateral perfusion, as well as the extent and severity of ischemia in the earliest stages of treatment (67).

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Neurocritical Care Monitoring by Chad M. Miller MD, Michel Torbey MD
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